Individual
AMY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 INCARNATION DR, SUITE 205A, CHARLOTTESVILLE, VA 22901-5708
(434) 293-4262
(434) 293-3077
Mailing address
1410 INCARNATION DR, SUITE 205A, CHARLOTTESVILLE, VA 22901-5708
(434) 293-4262
(434) 293-3077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009129
VA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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